Patient Education on Medication on Discharge After Surgery | Case Study

PATIENT EDUCATION ON MEDICATION ON DISCHARGE AFTER
SURGERY
Student Name:
Student Number:
Date:
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Context of the Patient
Mrs. Carolina Morris, a 46-year-old female suffering from ulcerative colitis
since her teenage years. With her condition worsening she is undertaking
ileostomy surgery, as per her doctor’s suggestions. She is discharged on
26th March 2017 to go home with a visit from a “stoma nurse”. Mrs. Morris
works but unable to work in the past year due to her condition. PMH:
ulcerative colitis x30y, diarrhea for the past year, weight loss up to 20kg.
NIL Known Allergies. The current educational plan includes ileostomy
medication care that she can take at home.
Cues collected from the scenario
Mrs. Morris has Pain 8/10 with a minimum incidence of nausea as
reported. “NP insitu at 2L”. “N/S at 100ml/h”. Her ileostomy bag has a
clear brown output of 250 ml. The dressing over stoma has been clean
and dry. However, the patient refuses further pain medication and is
sipping water and not drinking due to increased output in the bag. She
has been given Ketorolac 10mg QID PO as the medication. Paracetamol
was not given by other nurses. She has literate English magazines by her
bed and has family support. She feels anxious and scared about having an
ileostomy and appears uncomfortable laying on her side on edge of bed,
not ambulated yet.
Ileostomy care or wound care
Script Justification
Good morning Mrs. Morris, I
am the registered nurse and I will
provide you some suggestions that
you can use in ileostomy
Building patient rapport is the
foundation of establishing a
therapeutic relationship (Poehnert
et al, 2017). Wishing the patient
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medication care. and giving a proper introduction
assists in building a healthy
relationship between the
healthcare professional and
engaging the client without any
barriers.
Good morning
I would like to go straight to your
case and confirm your details to
verify them. I would like to confirm
your name, date of birth, past
condition, and surgery details.
Patient identification and matching
against records is undertaken in
healthcare settings to avoid risks of
all possible errors. This is in line
with the “Australian Safety and
Quality Framework for Health
Care” (Australian Commission on
Safety and Quality in Healthcare,
2019).
Mrs. Caroline Morris, 3rd of
February 1971
I have learned that you will be
discharged today to stay at home
with a visit from a stoma nurse.
You have also indicated that you
do not want any visit from the
community nurse and you will self-
inject SC meds post-discharge.
As per the “Australian Commission
on Safety and Quality in
Healthcare” (2019) patient
engagement in treatment options
helps in enhancing their health
outcomes.
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